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Individual

SAM OBGARTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
843 MILLING AVE, LULING, LA 70070-4442
(504) 575-3712
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP07934
LA

Other

Enumeration date
07/24/2014
Last updated
02/20/2017
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